Ultrasound changes in the extensor pollicis longus tendon following fractures of the distal radius--a preliminary report.

Ultrasound changes in the extensor pollicis longus tendon following fractures of the distal radius--a preliminary report. Research Abstract Details 

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Ultrasound changes in the extensor pollicis longus tendon following fractures of the distal radius--a preliminary report. Abstract Text:

K L Owers,J Lee,N Khan,J Healy,R Eckersley,

Extensor pollicis longus tendon rupture occurs in 0.2% to 3% of fractures of the distal radius. The underlying mechanism, or mechanisms, of rupture are unknown. This study evaluated this tendon and its surrounding structures using high-resolution ultrasound in 62 patients with distal radius fracture at 6 weeks after injury. The uninjured wrist was examined as a control. The ultrasound measurements at 6 weeks were then correlated with the patients' presenting X-rays. Significant findings included a reduced peak velocity of tendon movement and an increased thickness of both the extensor retinaculum and the tendon sheath on the fractured side. In respect of tendon sheath thickness, these changes were particularly associated with intraarticular fractures. We postulate that the increased thickness of the EPL tendon sheath may further impair an already tenuous blood supply and/or affect the diffusion of nutrients to the tendon within the third extensor compartment, leading to tendon attrition and rupture.

Ultrasound changes in the extensor pollicis longus tendon following fractures of the distal radius--a preliminary report. Publishing Authors By Initials

KL Owers,J Lee,N Khan,J Healy,R Eckersley,

For similar disorders of environmental origin: wounds and injuries: arm injuries: wrist injuries research abstracts see: disorders of environmental origin: wounds and injuries: arm injuries: wrist injuries research

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Ultrasound changes in the extensor pollicis longus tendon following fractures of the distal radius--a preliminary report. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The Journal of hand surgery, European volume

VOLUME: 32

Page Numbers: 467-71

Journal Abbreviation:

ISSN: 1753-1934

DAY: 12

MONTH: 06

YEAR: 2007

Ultrasound changes in the extensor pollicis longus tendon following fractures of the distal radius--a preliminary report. Information

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LANGUAGE: eng

NlmUniqueID: 101315820

Ultrasound changes in the extensor pollicis longus tendon following fractures of the distal radius--a preliminary report. Keywords Mesh Terms:

KEYWORDS: Wrist Injuries

MESH TERMS: ultrasonography

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Grant and Affiliation Information for Ultrasound changes in the extensor pollicis longus tendon following fractures of the distal radius--a preliminary report.

AFFILIATION: Department of Hand Surgery, Chelsea and Westminster Hospital NHS Trust, London, UK. kate@k-owers.freeserve.co.uk

Country: England

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MEDLINETA: J Hand Surg Eur Vol

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